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正常血压和自发性高血压大鼠在精神应激期间的肾功能和交感神经活动

Renal function and sympathetic activity during mental stress in normotensive and spontaneously hypertensive rats.

作者信息

Lundin S, Thorén P

出版信息

Acta Physiol Scand. 1982 May;115(1):115-24. doi: 10.1111/j.1748-1716.1982.tb07053.x.

Abstract

The aim of the present study was to explore the role of the renal sympathetic nerves in the urinary sodium excretion response to 'mental stress' in spontaneously hypertensive rats (SHR). In conscious male SHR and male Wistar Kyoto rats (WKY) urinary sodium excretion and renal function were measured both during 'rest' and during a 20 min period of 'mental stress'. Experiments were also performed on renal denervated rats. In addition, renal sympathetic activity was measured in a separate group of rats. Urinary sodium excretion, similar at rest in SHR and WKY, decreased significantly more during the stress period in SHR (-64 +/- 5%) than in WKY (-34 +/- 7%), despite a greater arterial pressure increase in SHR. Renal sympathetic nerve activity which already at rest was higher in SHR than in WKY, also increased much more in SHR during stress than in WKY. The more intense renal sympathetic activation during stress may explain the greater reduction in urinary sodium excretion in SHR, because renal denervation almost abolished this latter response. Thus, during 'mental stress' the increased renal sympathetic activity reduces urinary sodium excretion in SHR despite the pressure rise, perhaps explaining why renal denervation delays the rise in arterial pressure in young SHR. The tachycardia response in SHR gradually subsided towards the end of the stress period, while renal sympathetic activity remained elevated. This indicates that neurogenic heart rate increases if anything underestimate the extent of sympathetic activation to e.g. the renal and splanchnic regions during increased alertness.

摘要

本研究的目的是探讨肾交感神经在自发性高血压大鼠(SHR)对“精神应激”的尿钠排泄反应中的作用。在清醒的雄性SHR和雄性Wistar Kyoto大鼠(WKY)中,在“休息”期间和20分钟的“精神应激”期间测量尿钠排泄和肾功能。实验也在肾去神经大鼠身上进行。此外,在另一组大鼠中测量肾交感神经活动。SHR和WKY在休息时尿钠排泄相似,但在应激期间SHR(-64±5%)比WKY(-34±7%)显著降低更多,尽管SHR的动脉压升高幅度更大。SHR在休息时肾交感神经活动就高于WKY,在应激期间SHR的增加也比WKY更多。应激期间更强烈的肾交感神经激活可能解释了SHR尿钠排泄减少更多的原因,因为肾去神经几乎消除了后者的反应。因此,在“精神应激”期间,尽管血压升高,肾交感神经活动增加仍会降低SHR的尿钠排泄,这可能解释了为什么肾去神经会延迟年轻SHR动脉压的升高。SHR的心动过速反应在应激期接近尾声时逐渐消退,而肾交感神经活动仍保持升高。这表明,如果说有什么不同的话,神经源性心率增加低估了在警觉性增加期间对例如肾脏和内脏区域的交感神经激活程度。

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